Infinitus vs Silna Health (2026)

Agent Connectors pull eligibility, case records, payor requirements and formulary details from CRMs such as Salesforce, payor portals, SOP documents and EHRs, sync updates back when a call ends and trigger next steps. Studio connects agents to any API based system.

Sourceinfinitus.ai/platform/studioread 2026-09-29

Silna works with more than 1,000 payers across 50 states, calling insurers for benefits and authorization status and submitting through their portals. On the provider side it connects to the EHR and practice management systems ABA providers already use, CentralReach and Catalyst among them, so insurance work runs alongside the clinic's existing setup. The list of practice systems is short and centered on ABA platforms, and whether authorization results flow back into them is unclear.

SourceSilna Health, silnahealth.com, /aba-therapy, engineering.silnahealth.com/posts/autonomous-browser-agents-enterprise and /posts/building-phone-agents-healthcareread 2026-10-09

Purpose built agents run in multiagent workflows across voice, chat, SMS and email. Studio is a no code builder and orchestrator where teams customize workflows themselves, directing an agent to coordinate with other agents and generating connections, logic and conversation flows.

Sourceinfinitus.ai/platform/studioread 2026-09-29

The prior authorization lifecycle runs from expiration tracking and weekly reminders through form generation, submission and continual payer follow up. It branches as requests for additional information or resubmission raise alerts, denials move to appeal and Medicaid plan switches are flagged so authorizations can be resubmitted to the new plan. For ABA the same lifecycle covers initial assessments, concurrent reviews and reauthorizations. Behind it, document validation rules combine with AND and OR logic into configurations, and a graph decides which rules apply to each document type.

SourceSilna Health, silnahealth.com/prior-authorization, /insurance-monitoring, /aba-therapy and engineering.silnahealth.com/posts/document-validationread 2026-10-09

Inbound patient and provider contact across voice, chat and SMS reaches the agents 24/7. Benefit verifications arrive in bulk by portal or automatically by API, and connectors trigger next steps when a call ends.

Sourceinfinitus.ai/solutions/benefit-verificationread 2026-09-29

Work starts without staff: weekly expiration reminders, recurring eligibility and benefit checks, real time monitoring of every active patient's coverage, automatic detection of new insurance and Medicaid plan switches, and phone agents that call payers to check whether a submitted authorization was approved. For ABA, authorized hours remaining and upcoming reauthorization deadlines are tracked continuously so renewals go out before therapy is interrupted.

SourceSilna Health, silnahealth.com/insurance-monitoring, /prior-authorization, /aba-therapy and engineering.silnahealth.com/posts/building-phone-agents-healthcareread 2026-10-09

A knowledge graph gives agents current payor rules and guidelines before each call, connectors bring the customer's knowledge bases (policies, protocols, SOPs) into the platform and keep them current, and conversations are restricted to approved topics and content.

Sourceinfinitus.ai/safety-first-airead 2026-09-29

Silna maintains an always current database of each payer's prior authorization requirements per specialty, kept by its Payor Intelligence team from payer bulletins and the thousands of authorizations it processes each week, and applies it to form generation and document validation so providers never track the rules themselves. Predictive Document Intelligence reads diagnosis reports, treatment plans and progress notes with multimodal models and checks them against those criteria before submission, ABA treatment plans and progress reports included, and Silna reports a 98 percent first pass acceptance rate for requests it validates.

SourceSilna Health, silnahealth.com/prior-authorization, /aba-therapy, /resources/best-prior-authorization-software and engineering.silnahealth.com/posts/document-validationread 2026-10-09

Agents have no memory with a scope or lifetime. They arrive at each call with context pulled live from the customer's systems through connectors, which is retrieval, not memory.

Sourceinfinitus.ai/platform/studioread 2026-09-29

What persists sits on Silna's side: the payer requirements database and the growing record of reviewer corrections that shapes later submissions. The agents work from those shared stores and each authorization's own record, with no memory of a clinic or patient that has its own scope or lifetime.

SourceSilna Health, silnahealth.com and engineering.silnahealth.com/posts/beyond-the-agentread 2026-10-06

Situations needing human judgment go to people before the agent responds, a Clinical Escalations observer fires on risk thresholds, and human teams stand behind the agents as fallback. Agent Response Control removes the LLM where content must be verbatim. There is no step where a person approves an agent's output before it is returned or committed.

Sourceinfinitus.ai/clinical-evidenceread 2026-09-29

Staff stay in the loop where judgment matters. When document validation finds a gap against the payer's criteria, the provider reviews it and decides whether to update the documents or submit as they are, and requests for more information, resubmissions and appeals come back to the team as alerts. Behind the agents, Silna sends a set share of submissions to its own QA reviewers, who can override and correct the agent's work. Routine requests go out without staff touching each one, so there is no clinic sign off before a standard submission reaches the payer.

SourceSilna Health, silnahealth.com/prior-authorization, /resources/best-prior-authorization-software, engineering.silnahealth.com/posts/document-validation and /posts/beyond-the-agentread 2026-10-09

Infinitus is SOC 2 Type II certified and HIPAA compliant with BAAs. Login always goes through the customer's SSO, customers manage their own staff's authentication and authorization, and all access to customer data and permission changes are logged and monitored.

Sourceinfinitus.ai/securityread 2026-09-29

Security starts with SOC 2 Type II certification through Vanta, operation under HIPAA and a pledge to treat patient confidentiality as a priority. On the agent side, each browser session is tied to a single provider through row level security, so one clinic's agent cannot reach another clinic's records. There is no single sign on or role management for a clinic's own staff.

SourceSilna Health, silnahealth.com and engineering.silnahealth.com/posts/autonomous-browser-agents-enterpriseread 2026-10-06

Lens evaluates every interaction, human or AI, across voice, chat, SMS, email and fax, scoring each against SOP, compliance and clinical criteria the same day. Studio adds visibility into every agent interaction, with escalation patterns and turnaround times.

Sourceinfinitus.ai/product/lensread 2026-09-29

Clinics follow each authorization from submission to approval on a dashboard, with approvals passed along as they arrive. Inside Silna, every inference call and tool execution of a browser agent is saved as a pipeline step and each session gets a quality score from 0 to 100, a record that serves Silna's own engineers and reviewers. Clinics see status and outcomes rather than the agent's step by step trail.

SourceSilna Health, silnahealth.com/prior-authorization and engineering.silnahealth.com/posts/beyond-the-agentread 2026-10-06

Customer data is stored in cloud storage within US boundaries, in one fixed region, with no region choice, customer environment or on premises option.

Sourceinfinitus.ai/securityread 2026-09-29

The service is hosted. Its browser agents operate in sandboxed sessions on Silna's own self hosted Kasm Workspaces deployment, which isolates each session from the next and keeps agent activity off the clinic's own machines. There is no region choice, customer cloud or on premises option.

SourceSilna Health, silnahealth.com and engineering.silnahealth.com/posts/autonomous-browser-agents-enterpriseread 2026-10-06

Prebuilt agents cover benefit verification (eight standardized call types), prior authorization follow up, patient outreach and member engagement, alongside the FastTrack copilot and prebuilt copilot workflows, and each is a whole product doing its own job.

Sourceinfinitus.ai/platformread 2026-09-29

Silna sells one Care Readiness Platform built from prior authorizations, benefit checks, insurance monitoring and payor discovery, with prior authorizations priced at $35 each. These work as parts of one service rather than separate agents a clinic switches on, and there is no template or agent library. Customers include Behavior One Autism Solutions, Autism Learning Partners, ABS Kids, AnswersNow, HealthPro Heritage and Elite Alliance Physical Therapy.

SourceSilna Health, silnahealth.com and /resources/best-prior-authorization-softwareread 2026-10-09

Infinitus runs its own models trained on healthcare intelligence and uses LLMs for language understanding within set contexts. No LLM provider is named, and customers cannot choose a model.

Sourceinfinitus.ai/safety-first-airead 2026-09-29

Models are picked for each payer portal after testing cost, context window, intelligence and speed, and production traffic can be split between models that perform equally, for example half to Haiku 4.5 and half to GPT 5.4. The phone agents use Deepgram for speech recognition and ElevenLabs for speech, and the customer has no choice of model.

SourceSilna Health, engineering.silnahealth.com/posts/beyond-the-agent and /posts/building-phone-agents-healthcareread 2026-10-06

Customers submit work and retrieve results through API endpoints as well as the portal, connectors and APIs come with the platform, and Studio turns an OpenAPI spec into a drafted agent. The API reference is available only to customer accounts and is not published.

Sourceinfinitus.ai/solutions/benefit-verificationread 2026-09-29

Authorizations can be followed from submission to approval through an API as well as Silna's dashboard, which gives a clinic's other systems a way to track them. There is no public API reference, SDK or MCP server, and the agents themselves work through payer portals, payer phone lines and Silna's own app.

SourceSilna Health, silnahealth.com/resources/best-prior-authorization-softwareread 2026-10-09

Studio tests each agent on thousands of simulated calls against set criteria before it goes live, and its Optimizer adjusts the configuration until quality, latency and cost meet the target. Lens scores feed back into Studio, and bias testing flags any category below a 99 percent accuracy threshold.

Sourceinfinitus.ai/platform/studioread 2026-09-29

An in house Experiments platform sets what share of prior authorizations each portal agent submits with no human touch and routes a share of agent submissions to human QA, comparing human and AI results, and specialist reviewers flag minor or major errors to build a dataset of where the agent was wrong. Models are tested per portal in a sandbox on production infrastructure for duration, token use and accuracy, and every session gets a score from 0 to 100 for execution quality, apart from its final outcome.

SourceSilna Health, engineering.silnahealth.com/posts/beyond-the-agentread 2026-10-06

Agent Connectors pull eligibility and payor requirements from payor portals, acting inside platforms that have no API, but Infinitus does not say how the portals are operated. Navigating phone menus (IVR) is voice work, not computer use.

Sourceinfinitus.ai/platform/studioread 2026-09-29

Browser agents work payer portals on their own, logging in with 2FA, navigating complex legacy interfaces, entering clinical data and recording approvals, across Blue Cross, Aetna, United and dozens of other portals, inside sandboxed browser sessions. They now handle nearly half of all prior authorizations and are trained to stop and ask for help rather than guess when stuck. Phone agents navigate payer phone menus to retrieve plan details.

SourceSilna Health, engineering.silnahealth.com/posts/autonomous-browser-agents-enterprise, /posts/beyond-the-agent and /posts/building-phone-agents-healthcareread 2026-10-06